Company · 405 open roles
Careers at Caresource
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405 positions at Caresource
Provider Relations Account Manager - OH
Caresource·Ohio Mobile
Job Summary: The Provider Relations Account Manager - OH is responsible for working in a highly matrixed organization and influencing internal stakeholder relationships. This role will engage with providers to build, manage and maintain relationships, with a strong focus on oper…
Onboarding Specialist
Caresource·Massachusetts WFH
Job Summary: The Onboarding Specialist is the primary contact for members as they transition to a CCA/CareSource health plan. The Specialist contacts new members via telephonic outreach and identifies both the member's existing healthcare services that will continue and new serv…
Hybrid Registered Nurse Care Manager - Long Island
Caresource·Queens, NY
Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes. Essent…
Manager, LTSS Service Determination Operations
Caresource·Remote
Job Summary: The Manager, LTSS Service Determination Operations is responsible for leading the day-to-day operations of a market specific LTSS service determination function, ensuring accurate, timely, and compliant translation of assessments into appropriate long-term services …
Customer Care Specialist I (Contractors)
Caresource·Ohio WFH
TrueCare is a Mississippi non-profit, provider-sponsored health plan formed by a coalition of Mississippi hospitals and health systems throughout the state and supported by CareSource’s national leadership in quality and operational excellence. TrueCare offers locally based provi…
PI Medical Coding Reviewer II (CPC/RHIT/RHIA required)
Caresource·Remote
Job Summary: The Program Integrity Medical Coding Reviewer II is responsible for review of medical record audit activities, dispute support as needed, medical records work queues as well as claim reviews for provider pre-payment and post-payment functions. Essential Functions: …
Hybrid Registered Nurse (RN) Clinical Care Manager - Pittsfield and surrounding areas - 5K Sign On Bonus
Caresource·Springfield, MA
Job Summary: The Integrated Care Clinical Manager - Massachusetts at CareSource/Commonwealth Care Alliance (CCA) is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, …
Hybrid Registered Nurse (RN) Clinical Care Manager - Haverhill - 5k Sign on Bonus
Caresource·Boston, MA
Job Summary: The Integrated Care Clinical Manager - Massachusetts is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs. This position…
Board-Certified Behavior Analyst(Must Have BCBA-D)
Caresource·Remote
Job Summary: The Board-Certified Behavior Analyst serves as the clinical lead in developing and implementing evidenced based clinical policies and practices for members with Autism and their families Essential Functions: • Oversee coverage determinations for ABA utilization ma…
Hybrid Registered Nurse (RN) Clinical Care Manager - Springfield and Surrounding
Caresource·Springfield, MA
Job Summary: The Integrated Care Clinical Manager - Massachusetts at CareSource/Commonwealth Care Alliance (CCA) is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, …
Hybrid Registered Nurse (RN) Clinical Care Manager - Holyoke/Chicopee - 5K Sign On Bonus
Caresource·Massachusetts Mobile
Job Summary: The Integrated Care Clinical Manager - Massachusetts at CareSource/Commonwealth Care Alliance (CCA) is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, …
Hybrid Registered Nurse (RN) Clinical Care Manager - Springfield and surrounding areas - 5K Sign On Bonus
Caresource·Springfield, MA
Job Summary: The Integrated Care Clinical Manager - Massachusetts at CareSource/Commonwealth Care Alliance (CCA) is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, …
Hybrid Registered Nurse (RN) Clinical Care Manager - Pepperell - 5k Sign on Bonus
Caresource·Pepperell, MA
Job Summary: The Integrated Care Clinical Manager - Massachusetts is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs. This position…
Hybrid Registered Nurse (RN) Clinical Care Manager - Waltham - 5K Sign On Bonus
Caresource·Massachusetts Mobile
Job Summary: The Integrated Care Clinical Manager - Massachusetts at CareSource/Commonwealth Care Alliance (CCA) is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, …
Administrative Assistant III (Hybrid/Dayton OH)
Caresource·Dayton WFH
Job Summary: The Administrative Assistant III is responsible for meeting the administrative needs of their executive and assigned organization within the company. This is a hybrid position that works in the Dayton OH office as needed. Essential Functions: • Compose and prepare …
Operations Business Analyst III
Caresource·Remote
Job Summary: The Operations Business Analyst III is responsible for reviewing and analyzing the effectiveness and efficiency of existing processes and systems, and participate in development of solutions to improve or further leverage these functions. Essential Functions: • Re…
Remote - Onboarding Specialist
Caresource·Massachusetts WFH
Job Summary: The Onboarding Specialist is the primary contact for members as they transition to a CCA/CareSource health plan. The Specialist contacts new members via telephonic outreach and identifies both the member's existing healthcare services that will continue and new serv…
LTSS & Dual Eligible Program Report Developer IV
Caresource·Remote
Job Summary: The LTSS & Dual Eligible Report Engineer IV will play a crucial role in utilizing data analytics to drive informed decision-making and optimize business processes within the healthcare environment. This senior-level position is responsible for developing, managing, …
Hybrid Registered Nurse (RN) Clinical Care Manager - South Boston and surrounding areas - 5K Sign On Bonus
Caresource·Boston, MA
Job Summary: The Integrated Care Clinical Manager - Massachusetts at CareSource/Commonwealth Care Alliance (CCA) is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, …
Team Lead, Community Based Care Management
Caresource·Michigan Mobile
Job Summary: The Team Lead, Community Based Care Management provides front line management and support to departmental leadership in the development and execution of the Care Model in alignment with corporate goals Essential Functions: • Functions as a “hands-on” supervisor, a…
Hybrid Registered Nurse (RN) Clinical Care Manager - Brookline - 5K Sign On Bonus
Caresource·Brookline, MA
Job Summary: The Integrated Care Clinical Manager - Massachusetts at CareSource/Commonwealth Care Alliance (CCA) is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, …
Hybrid RN Clinical Care Manager - Massachusetts, Springfield - 5K Sign On Bonus
Caresource·Massachusetts Mobile
Job Summary: The Integrated Care Clinical Manager - Massachusetts at CareSource/Commonwealth Care Alliance (CCA) is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, …
Operations Specialist II
Caresource·Remote
Job Summary: The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects. Essential Functions: • Represent claims on cross-functional project work teams • Submit, monitor and prioritize IT tickets for the…
Vendor Medical Coding Analyst
Caresource·Remote
Job Summary: The Vendor Medical Coding Analyst is responsible for guiding the overall efficiency and accuracy of the vendor payment process through analyzing medical records and supplemental data to ensure diagnostic and procedural codes accurately reflect and support the visit …